JASON DOUGLAS BLANKENSHIP OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010975

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

DOUGLAS

Last Name

BLANKENSHIP

Business Name

JASON DOUGLAS BLANKENSHIP OD

Original Issue Date

04/14/2016

Effective Date

05/27/2022

Expiration Date

03/31/2024

City

WILTON MANORS

State

Zip

33334

Ever Disciplined

LastModifiedDate

02/05/2025